Provider Demographics
NPI:1477749646
Name:DUDA, KARLA C (DPT)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:C
Last Name:DUDA
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:
Other - Last Name:CORTEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:4400 MCCOY DR STE 114
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-4597
Mailing Address - Country:US
Mailing Address - Phone:708-492-5350
Mailing Address - Fax:708-409-5179
Practice Address - Street 1:4400 MCCOY DR STE 114
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-4597
Practice Address - Country:US
Practice Address - Phone:708-492-5350
Practice Address - Fax:708-409-5179
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070016010225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK45145Medicare PIN